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Related Concept Videos

Flail Chest-II

Flail Chest-II

Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:

Flail Chest-I

Flail Chest-I

Overview of Flail Chest
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
Pathophysiology
The pathophysiology of flail chest is complex, involving fractures of...

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Related Experiment Video

Updated: Jun 27, 2025

Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling

Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling

Published on: January 5, 2015

Triple Barrel Free Fibula Flap for Sternal Stabilization: A Case Report.

T Cordoba¹, C Awaida², É Delisle¹

¹University of Montreal, Montreal, Quebec, Canada.

Annals of Burns and Fire Disasters

|April 29, 2024

Summary

Sternal non-union after cardiac surgery causes instability and pain. A novel fibula flap technique offers rigid, long-lasting reconstruction, preserving chest wall function and aesthetics.

Keywords:

free fibula flap microsurgery sternal reconstruction

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Related Experiment Videos

Last Updated: Jun 27, 2025

Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling

Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling

Published on: January 5, 2015

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Published on: May 23, 2025

A Postoperative Evaluation Guideline for Computer-Assisted Reconstruction of the Mandible

A Postoperative Evaluation Guideline for Computer-Assisted Reconstruction of the Mandible

Published on: January 28, 2020

Area of Science:

Orthopedic Surgery
Thoracic Surgery
Biomaterials Science

Background:

Sternal non-union is a rare but morbid complication following median sternotomies in cardiac surgery.
It leads to significant sternal instability, pain, and chest wall clicking, impacting patient quality of life.

Observation:

Diagnosis is typically confirmed via computed tomography (CT) demonstrating a gap between the sternal halves.
Surgical correction presents challenges in achieving both functional and aesthetic restoration of the thoracic cage.

Findings:

A novel surgical technique for sternal instability reconstruction is presented, utilizing a triple-barrel vascularized free fibula flap.
This flap is secured with rib titanium plates, providing robust and enduring stability.

Implications:

This approach aims to reconstruct the thoracic cage, promoting biomimetic principles and preserving vital cardiac and pulmonary functions.
The technique offers a promising solution for rigid, long-lasting sternal stability while maintaining chest wall biomechanics and aesthetic outcomes.